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Living with Eosinophilic pustular folliculitis

A skin condition with recurring itchy bumps and pimples, mostly on the face, scalp, neck, and trunk.

Understanding Eosinophilic pustular folliculitis

Eosinophilic pustular folliculitis (EPF) is a skin disorder with recurring itchy red or skin-colored bumps and pustules (bumps with pus).

The pustules mostly appear on the face, scalp, neck, and trunk and may last weeks or months. It affects males more than females. There are several types, including a classic form seen mostly in adults in Japan, one linked to HIV or a weakened immune system, and an infant form.

Signs & symptoms

GARD describes these features in its summary:

  • Itchy red or skin-colored bumps
  • Pustules (bumps containing pus)
  • Bumps that return again and again

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of EPF do I or my child have?
What treatments can ease the itching?
Could a skin biopsy or other test help confirm this?

Quick facts

GARD doesn't describe a cause for this condition yet. Skin biopsies find eosinophils (a type of immune cell) around hair follicles.

Also known as: classic epf (eosinophilic pustular folliculitis); eosinophilic folliculitis; ofuji disease; ofuji's disease

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Eosinophilic pustular folliculitisGARD ID 8534 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Eosinophilic pustular folliculitis.

Explore the Eosinophilic pustular folliculitis blog

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Explore actively recruiting Eosinophilic pustular folliculitis studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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